GENESIS RECOVERY INC. NPI 1831585561

NPI Information

GENESIS RECOVERY, INC. is a substance abuse rehabilitation facility in Lakeside, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. GENESIS RECOVERY, INC. NPI is 1831585561. The provider is registered as an organization entity type.
The provider Other Name Is Genesis Recovery San Diego.

The provider's business location address is:

24352 FEATHERSTONE CANYON RD.
LAKESIDE, CA
ZIP 92040
Phone: (619) 797-7319

The provider's authorized official is Amanda Tamai .
The authorized official title is Executive Assistant and has the following contact phone number (619) 206-0081.

The CLIA number assigned to this NPI record is 05D2089402 - other - inpatient treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2015 and was last updated on 9/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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